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• W4211136641 abstract "Low back pain covers a spectrum of different types of pain (eg, nociceptive, neuropathic and nociplastic, or non-specific) that frequently overlap. The elements comprising the lumbar spine (eg, soft tissue, vertebrae, zygapophyseal and sacroiliac joints, intervertebral discs, and neurovascular structures) are prone to different stressors, and each of these, alone or in combination, can contribute to low back pain. Due to numerous factors related to low back pain, and the low specificity of imaging and diagnostic injections, diagnostic methods for this condition continue to be a subject of controversy. The biopsychosocial model posits low back pain to be a dynamic interaction between social, psychological, and biological factors that can both predispose to and result from injury, and should be considered when devising interdisciplinary treatment plans. Prevention of low back pain is recognised as a pivotal challenge in high-risk populations to help tackle high health-care costs related to therapy and rehabilitation. To a large extent, therapy depends on pain classification, and usually starts with self-care and pharmacotherapy in combination with non-pharmacological methods, such as physical therapies and psychological treatments in appropriate patients. For refractory low back pain, a wide range of non-surgical (eg, epidural steroid injections and spinal cord stimulation for neuropathic pain, and radiofrequency ablation and intra-articular steroid injections for mechanical pain) and surgical (eg, decompression for neuropathic pain, disc replacement, and fusion for mechanical causes) treatment options are available in carefully selected patients. Most treatment options address only single, solitary causes and given the complex nature of low back pain, a multimodal interdisciplinary approach is necessary. Although globally recognised as an important health and socioeconomic challenge with an expected increase in prevalence, low back pain continues to have tremendous potential for improvement in both diagnostic and therapeutic aspects. Future research on low back pain should focus on improving the accuracy and objectivity of diagnostic assessments, and devising treatment algorithms that consider unique biological, psychological, and social factors. High-quality comparative-effectiveness and randomised controlled trials with longer follow-up periods that aim to establish the efficacy and cost-effectiveness of low back pain management are warranted. Low back pain covers a spectrum of different types of pain (eg, nociceptive, neuropathic and nociplastic, or non-specific) that frequently overlap. The elements comprising the lumbar spine (eg, soft tissue, vertebrae, zygapophyseal and sacroiliac joints, intervertebral discs, and neurovascular structures) are prone to different stressors, and each of these, alone or in combination, can contribute to low back pain. Due to numerous factors related to low back pain, and the low specificity of imaging and diagnostic injections, diagnostic methods for this condition continue to be a subject of controversy. The biopsychosocial model posits low back pain to be a dynamic interaction between social, psychological, and biological factors that can both predispose to and result from injury, and should be considered when devising interdisciplinary treatment plans. Prevention of low back pain is recognised as a pivotal challenge in high-risk populations to help tackle high health-care costs related to therapy and rehabilitation. To a large extent, therapy depends on pain classification, and usually starts with self-care and pharmacotherapy in combination with non-pharmacological methods, such as physical therapies and psychological treatments in appropriate patients. For refractory low back pain, a wide range of non-surgical (eg, epidural steroid injections and spinal cord stimulation for neuropathic pain, and radiofrequency ablation and intra-articular steroid injections for mechanical pain) and surgical (eg, decompression for neuropathic pain, disc replacement, and fusion for mechanical causes) treatment options are available in carefully selected patients. Most treatment options address only single, solitary causes and given the complex nature of low back pain, a multimodal interdisciplinary approach is necessary. Although globally recognised as an important health and socioeconomic challenge with an expected increase in prevalence, low back pain continues to have tremendous potential for improvement in both diagnostic and therapeutic aspects. Future research on low back pain should focus on improving the accuracy and objectivity of diagnostic assessments, and devising treatment algorithms that consider unique biological, psychological, and social factors. High-quality comparative-effectiveness and randomised controlled trials with longer follow-up periods that aim to establish the efficacy and cost-effectiveness of low back pain management are warranted. The evidence gap in low back pain management strategiesIn their Seminar1 on low back pain, Nebojsa Nick Knezevic and colleagues state that “MRI…can contribute to higher rates of spine surgery and result in higher satisfaction rates”. Full-Text PDF The evidence gap in low back pain management strategies – Authors' replyWe thank Xing Du and Yunsheng Ou for bringing up the contentious issue of spine surgery for further discussion. However, we do not agree that the conclusions in our Seminar1 oppose evidence-based medicine; rather, we believe that they bolster the argument that there is insufficient evidence to draw firm conclusions. Full-Text PDF The evidence gap in low back pain management strategiesIn their Seminar,1 Nebojsa Nick Knezevic and colleagues concluded that surgery is more effective than conservative management in the treatment of lumbar spinal stenosis, and that decompression combined with fusion had no substantial benefit compared with decompression alone. We believe that this conclusion was not evidence-based, and could have the potential to prejudice the spine surgeon against the choice of treatment for lumbar spinal stenosis. Full-Text PDF" @default.
• W4211136641 created "2022-02-13" @default.
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• W4211136641 date "2021-07-01" @default.
• W4211136641 modified "2023-10-16" @default.
• W4211136641 title "Low back pain" @default.
• W4211136641 cites W1436865660 @default.
• W4211136641 cites W145163945 @default.
• W4211136641 cites W1508867735 @default.
• W4211136641 cites W1853243928 @default.
• W4211136641 cites W1903362681 @default.
• W4211136641 cites W1964543929 @default.
• W4211136641 cites W1966964772 @default.
• W4211136641 cites W1967170648 @default.
• W4211136641 cites W1972596777 @default.
• W4211136641 cites W1975961740 @default.
• W4211136641 cites W1977346380 @default.
• W4211136641 cites W1982134316 @default.
• W4211136641 cites W1984051719 @default.
• W4211136641 cites W1985091831 @default.
• W4211136641 cites W1986292114 @default.
• W4211136641 cites W1993895003 @default.
• W4211136641 cites W1994594894 @default.
• W4211136641 cites W1996595680 @default.
• W4211136641 cites W1997892506 @default.
• W4211136641 cites W2000049537 @default.
• W4211136641 cites W2003037544 @default.
• W4211136641 cites W2005578755 @default.
• W4211136641 cites W2010640059 @default.
• W4211136641 cites W2018048562 @default.
• W4211136641 cites W2023370307 @default.
• W4211136641 cites W2029985169 @default.
• W4211136641 cites W2034262360 @default.
• W4211136641 cites W2039594564 @default.
• W4211136641 cites W2043564581 @default.
• W4211136641 cites W2045093559 @default.
• W4211136641 cites W2048514270 @default.
• W4211136641 cites W2048700324 @default.
• W4211136641 cites W2061622386 @default.
• W4211136641 cites W2067435956 @default.
• W4211136641 cites W2067689995 @default.
• W4211136641 cites W2075982485 @default.
• W4211136641 cites W2078173913 @default.
• W4211136641 cites W2079910875 @default.
• W4211136641 cites W2084383397 @default.
• W4211136641 cites W2087468944 @default.
• W4211136641 cites W2096658399 @default.
• W4211136641 cites W2097408032 @default.
• W4211136641 cites W2099093791 @default.
• W4211136641 cites W2099432022 @default.
• W4211136641 cites W2102261709 @default.
• W4211136641 cites W2104818454 @default.
• W4211136641 cites W2111163391 @default.
• W4211136641 cites W2116654331 @default.
• W4211136641 cites W2116760759 @default.
• W4211136641 cites W2124564463 @default.
• W4211136641 cites W2141841210 @default.
• W4211136641 cites W2142269314 @default.
• W4211136641 cites W2147511022 @default.
• W4211136641 cites W2148423834 @default.
• W4211136641 cites W2154279637 @default.
• W4211136641 cites W2156158710 @default.
• W4211136641 cites W2161851658 @default.
• W4211136641 cites W2164562287 @default.
• W4211136641 cites W2182014728 @default.
• W4211136641 cites W2202219582 @default.
• W4211136641 cites W2203834106 @default.
• W4211136641 cites W2237983425 @default.
• W4211136641 cites W2260099394 @default.
• W4211136641 cites W2315329020 @default.
• W4211136641 cites W2316715700 @default.
• W4211136641 cites W2332549466 @default.
• W4211136641 cites W2337817744 @default.
• W4211136641 cites W2344166651 @default.
• W4211136641 cites W2395265211 @default.
• W4211136641 cites W2401085321 @default.
• W4211136641 cites W2435804502 @default.
• W4211136641 cites W2474151685 @default.
• W4211136641 cites W2480356145 @default.
• W4211136641 cites W2511511558 @default.
• W4211136641 cites W2515876192 @default.
• W4211136641 cites W2579543465 @default.
• W4211136641 cites W2588410069 @default.
• W4211136641 cites W2609580660 @default.
• W4211136641 cites W2612188380 @default.
• W4211136641 cites W2617119486 @default.
• W4211136641 cites W2725051060 @default.
• W4211136641 cites W2738244454 @default.
• W4211136641 cites W2743046890 @default.
• W4211136641 cites W2757427503 @default.
• W4211136641 cites W2767667435 @default.
• W4211136641 cites W2768315282 @default.
• W4211136641 cites W2768720669 @default.
• W4211136641 cites W2770947172 @default.

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